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Master Thesis

Les déclenchements entre 38 SA et 39 SA pour suspicion de macrosomie foetale

Abstract : A randomized trial was conducted between 2002 and 2009 including two groups of macrosomic children, a group where patients are induced between 37 and 38 +6 SA and another corresponding to the control group. It was shown that the induced labor of suspected macrosomic fetus causes a reduction of maternal and neonatal morbidities. An induced labor protocol between 38 and 39 weeks for suspected fetal macrosomia was put in place following this test. Objective. The study makes the clinical audit of induced labor for suspected fetal macrosomia as well as to comment on screening rates. Methods. The task force corresponds to 150 patients with a suspected macrosomic fetus, they will be called between 38 and 39 SA. The second control group corresponds to 947 patients who gave birth to a macrosomic child that was unsuspected. The maternal and neonatal morbidities were compared between these two groups. The main criteria studied is shoulder dystocia, brachial plexus injuries, deaths and fractures. Results and conclusion. The trigger can significantly reduce maternal morbidity without decreasing fetal morbidity.
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https://dumas.ccsd.cnrs.fr/dumas-01002718
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Submitted on : Friday, June 6, 2014 - 3:58:05 PM
Last modification on : Friday, January 10, 2020 - 3:42:28 PM
Long-term archiving on: : Saturday, September 6, 2014 - 12:20:21 PM

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  • HAL Id : dumas-01002718, version 1

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Perrine Geniteau. Les déclenchements entre 38 SA et 39 SA pour suspicion de macrosomie foetale. Gynécologie et obstétrique. 2014. ⟨dumas-01002718⟩

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